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Surgery for disorders of erectile function, ejaculation, and seminal vesicles 

Surgery for disorders of erectile function, ejaculation, and seminal vesicles
Chapter:
Surgery for disorders of erectile function, ejaculation, and seminal vesicles
Author(s):

John Reynard

, Stephen Mark

, Kevin Turner

, Noel Armenakas

, Mark Feneley

, and Mark Sullivan

DOI:
10.1093/med/9780199299423.003.0012
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date: 22 September 2020

Physiology of erection 662

Physiology of ejaculation 664

Evaluation of impotence 666

Surgery for impotence: vascular surgery 668

Surgery for impotence: penile prosthesis 674

Surgical treatment for Peyronie’s disease 680

The relaxation of penile corporeal smooth muscle, an essential step for penile erection, is controlled locally by autonomic dilator nerves and the vascular endothelium. The pelvic nerves appear to mediate penile erection via two circulatory events. The first is a prompt dilatation of penile resistance vessels causing a greatly increased arterial inflow. The second is a rapid filling of the corpora cavernosa and an increase in cavernosal pressure....

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